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Mauro v. Yale-New Haven Hospital

Appellate Court of Connecticut
Jun 8, 1993
31 Conn. App. 584 (Conn. App. Ct. 1993)

Summary

holding that the defendant was entitled to a mitigation of damages charge where he presented evidence that the plaintiff disregarded advice to maintain bed rest and not to return to work

Summary of this case from Currie v. Metro-North Railroad Company

Opinion

(10821)

The plaintiff sought to recover for the alleged medical malpractice of the defendant hospital and the defendant physicians, S and C. The claims against the hospital and S were settled before trial, and the jury returned a verdict in favor of the plaintiff against C. The trial court denied C's motions to set aside and to reduce the verdict, and C appealed to this court claiming, inter alia, that the trial court was required by statute ( 52-216a) to reduce the verdict against him by the amount of the settlement with the hospital and S. Held: 1. The trial court properly construed 52-216a as permitting the verdict to be reduced by amounts received by the plaintiff from other joint tortfeasors only when those additional amounts plus the verdict would produce an excessive amount of damages as a matter of law. 2. The trial court correctly concluded that the jury verdict, when added to the amount of the pretrial settlement, was not excessive; the total amount did not shock the conscience nor was the verdict due to partiality, prejudice or mistake. 3. S's claim that the trial court failed to instruct the jury that proximate causation must be established by expert testimony was not reviewable, he having failed to submit a written request to charge that covered that issue and having failed to except to the instructions given. 4. S could not prevail on his claim that the trial court failed to provide the jury with necessary guidance regarding the calculation of damages; viewing the charge as a whole, there was no reasonable possibility that the jury was misled. 5. S's challenge to the trial court's failure to instruct the jury on contributory negligence was unavailing; having failed to plead such a defense, he was not entitled to an instruction on it.

Argued January 6, 1993

Decision released June 8, 1993

Action to recover damages for medical malpractice, brought to the Superior Court in the judicial district of New Haven, where the case was withdrawn as against the named defendant et al.; thereafter, the matter was tried to the jury before DeMayo, J.; verdict for the plaintiff against the defendant James Cianciolo; subsequently, the court denied the defendant James Cianciolo's motion to set aside the verdict and rendered judgment for the plaintiff, from which defendant James Cianciolo appealed to this court. Affirmed.

Michele C. Lukban, for the appellant (defendant James Cianciolo).

Kathryn Calibey, for the appellee (plaintiff).


The defendant James Cianciolo appeals from a judgment, rendered after a jury verdict, awarding $107,580 to the plaintiff for injuries resulting from the defendant's medical negligence. On appeal, the defendant claims that the trial court (1) failed to reduce the amount of the jury verdict by the amount received by the plaintiff from joint tortfeasors prior to trial, (2) improperly instructed the jury regarding the necessity of expert testimony on the issue of causation, and (3) misled the jury with its instruction regarding the apportionment of damages. We affirm the judgment of the trial court.

Prior to trial, the case was withdrawn as against all but the defendant James Cianciolo. We will refer in this opinion to Cianciolo as the defendant.

Many of the facts are not in dispute. On the evening of July 20, 1985, the plaintiff was injured when he fell from a second story porch. He was brought to Yale-New Haven Hospital for treatment and was discharged the following morning. Four days later, because of continuing pain in his spine, the plaintiff consulted Kandiah Sritharan, an internist. X rays were taken of the plaintiff by both the hospital and Sritharan. After receiving several physical therapy treatments from Sritharan, without any improvement in his condition, the plaintiff consulted the defendant, a chiropractor, on August 7, 1985. The defendant diagnosed the plaintiff's condition as spastic torticollis and cervical sprain, and over the next two weeks performed several chiropractic treatments on the plaintiff. Prior to treating the plaintiff, the defendant did not review the X rays that had already been taken, nor did he take any new ones. On August 29, 1985, the plaintiff consulted another physician, who diagnosed the plaintiff as having a fracture of the cervical spine. The plaintiff was immediately admitted to the Hospital of St. Raphael and underwent extensive treatment, including the use of a halo vest and a traction tong.

In October, 1986, the plaintiff brought a medical negligence action against Yale-New Haven Hospital, Sritharan and Cianciolo. The claims against the hospital and Sritharan were settled for $62,500 before trial and withdrawn. Subsequently, the plaintiff filed a substitute complaint naming only Cianciolo as the defendant. The case proceeded to trial and the jury returned a verdict in favor of the plaintiff for $107,580. The defendant filed a motion to set aside the verdict and a motion to reduce the verdict, both of which were denied. This appeal followed.

The defendant's first claim concerns the proper application of General Statutes 52-216a. The defendant contends that 52-216a mandates that a trial court reduce a jury verdict by the amount of any pretrial settlement. Specifically, the defendant argues that under 52-216a the amount of a settlement should be added to the verdict amount awarded by the jury, and then, to the extent that sum exceeds the verdict, the verdict would be considered to be excessive. This would be tantamount to mandating the reduction of the verdict by the amount of any prior settlement. The defendant contends that to hold otherwise would constitute more than the one full recovery to which a plaintiff is entitled and would also allow the trial court to invade the fact-finding function of the jury. The plaintiff, however, argues that 52-216a requires that a trial court first add the jury verdict and any settlement moneys received by a plaintiff and then make a determination whether the total amount is excessive. If a court determines the total amount to be excessive, then the court is required to reduce the jury verdict by that amount.

General Statutes 52-216a provides: "An agreement with any tortfeasor not to bring legal action or a release of a tortfeasor in any cause of action shall not be read to a jury or in any other way introduced in evidence by either party at any time during the trial of the cause of action against any other joint tortfeasors, nor shall any other agreement not to sue or release of claim among any plaintiffs or defendants in the action be read or in any other way introduced to a jury. If the court at the conclusion of the trial concludes that the verdict is excessive as a matter of law, it shall order a remittitur and, upon failure of the party so ordered to remit the amount ordered by the court, it shall set aside the verdict and order a new trial. If the court concludes that the verdict is inadequate as a matter of law, it shall order an additur, and upon failure of the party so ordered to add the amount ordered by the court, it shall set aside the verdict and order a new trial. This section shall not prohibit the introduction of such agreement or release in a trial to the court."

Section 52-216a was analyzed in Peck v. Jacquemin, 196 Conn. 53, 491 A.2d 1043 (1985). The Peck court stated that "[i]n making its postverdict determination on the issue of any claimed excessiveness [under 52-216a], the trial court was directed to consider the amount of money paid to a plaintiff as the result of either `[any] agreement with any tortfeasor not to bring legal action or a release of a tortfeasor in any cause of action.'" Id., 71. According to the statute, the determination as to whether a verdict is excessive must be made "as a matter of law." The court went on to explain that the terms used in the statute, "as a matter of law' are legal terms and, absent any legislative intent shown to the contrary, are to be presumed to be used in their legal sense." Id., 70. "As a matter of law," does not import unbridled discretion, but rather requires the application of relevant legal principles; id., 71; including "the time-honored rule that an injured party is entitled to full recovery only once for the harm suffered." Id., 70 n. 19, citing Dwy v. Connecticut Co., 89 Conn. 74, 95, 92 A. 883 (1915). The court concluded that because the statute requires that the determination of excessiveness be made "as a matter of law," this determination is purely a question of law and does not invade the province of the jury. Peck v. Jacquemin, supra, 72. Thus, the court interpreted the statute to give the trial court the authority to make a determination of excessiveness based on legal principles and not to mandate an automatic reduction of a jury verdict by a pretrial settlement. The court construed the statute as permitting the verdict to be reduced by amounts received by a plaintiff from other joint tortfeasors only when those additional amounts plus the verdict would produce an excessive amount of damages as a matter of law.

The defendant argues that subsequent case law has changed the rule in Peck. The defendant cites Alfano v. Insurance Center of Torrington, 203 Conn. 607, 525 A.2d 1338 (1987), Ames v. Sears, Roebuck Co., 206 Conn. 16, 536 A.2d 563 (1988), and Yuzari v. Southern Auto Sales, 688 F. Sup. 825 (D. Conn. 1988), as support for that proposition. A review of these cases does not bear out the defendant's claim. Alfano is distinguishable from Peck. Peck involved a jury award for damages for personal injuries while Alfano involved a jury award for a fire loss to property. The payment made by another in Alfano was not by a joint tortfeasor but by an attorney, arising out of his malpractice for failing to advise the plaintiff of the need for fire insurance. The loss in Alfano was readily ascertainable and absolute, and "represent[ed] a legally unassailable determination of fair compensation for the plaintiff's loss . . . ." Alfano v. Insurance Center of Torrington, supra, 611. Although the amount of the jury award in Peck was certain, it was not absolute because it was within a spectrum of possible sums that could be awarded as just damages. Seymour v. Carcia, 24 Conn. App. 446, 455, 589 A.2d 7 (1991), aff'd, 221 Conn. 473, 604 A.2d 1304 (1992). Because of the nature of personal injuries and the pain and suffering ancillary to the injuries, the amount awarded by a jury is not absolute. The amount of the loss in Alfano was fixed, and, therefore, any recovery beyond the jury verdict would necessarily be excessive. Thus, there was no reason for the court in Alfano to exercise the limited role given to it by 52-216a.

The Alfano court acknowledges in a footnote that, even if General Statutes 52-225a had been effective prior to October 1, 1986, it would not apply to Alfano because Alfano was not a case seeking damages for personal injury or wrongful death. Alfano v. Insurance Center of Torrington, 203 Conn. 607, 610 n. 3, 525 A.2d 1338 (1987).

The defendant's reliance on Ames and Yuzari is also misplaced. In Ames, the defendant claimed that Alfano had changed the application of 52-216a as articulated in Peck. The court in Ames, however, refused to address whether Alfano had altered Peck, stating that the holding of Alfano was confined to its particular facts and that the question need not be decided for purposes of determining the issue in Ames. The defendant claims, nevertheless, that, because the Ames court did not deny the assertion that Alfano had changed the application of 52-216a, it must have countenanced the supposed change. The court was not silent on this issue, but indicated that it would not further address the application of 52-216a as articulated in Peck because it was unnecessary and because Alfano involved the rectitude of a trial court's order of remittitur "in the circumstances of that case." Ames v. Sears, Roebuck Co., supra, 23.

In Yuzari, the federal District Court recognized that Ames did not determine whether Peck retained its vitality. The court determined instead that, in its opinion, Alfano contained a better interpretation of 52-216a than did Peck, but made no effort to distinguish the two cases. Yuzari relies for its reasoning on the dissent in Peck, rather than on Alfano itself. Yuzari v. Southern Auto Sales, supra, 829. Yuzari does not state that the present law in Connecticut has deviated from Peck, but opines only that Peck should not be the law, finding support in Alfano. Peck is still valid law when a jury's award involves damages for a personal injury for which the award cannot be determined precisely.

The interpretation of our state statutes by a federal court is not binding on us. General Accident Ins. Co. v. Wheeler, 221 Conn. 206, 212, 603 A.2d 385 (1992).

The present case involves a request for a remittitur in an action for damages for personal injuries. Had this case involved an additur, the reasoning of Yuzari, namely, that the jury verdict is to be taken as the precise total amount of just damages to which the plaintiff is entitled, would be difficult to support. General Statutes 52-216a provides that if a court concludes that the verdict is inadequate as a matter of law, it may add to it. If the verdict in an action for damages for personal injury is the precise amount due a plaintiff, there would be no way the court could, with or without taking into account prior settlements, conclude that an additur would be necessary.

Having determined that the trial court took the proper approach in applying 52-216a, we must consider whether the trial court correctly concluded that the jury verdict, when added to the amount of the pretrial settlement, was not excessive. On appeal, the test to be applied is whether the verdict "so shocks the conscience as to compel a reviewing court's conclusion that it was due to partiality, prejudice or mistake." Martin v. Samulis, 24 Conn. App. 85, 89, 585 A.2d 1225 (1991). The verdict must fall "somewhere within the necessarily uncertain limits of fair and reasonable compensation in the particular case . . . ." (Internal quotation marks omitted.) Seymour v. Carcia, supra, 455.

In the present case, the trial court, taking into account the pretrial settlement, found that the jury verdict did not shock the conscience and, therefore, was not excessive. In making this determination, the trial court considered several factors. They included the plaintiff's disability, loss of earning capacity, age, lengthy period of disability, pain and suffering, his recuperation in a neck brace and collar, the surgical procedures, and the fact that, had he been treated prior to the displacement of his spine, the halo collar would not have been needed. We conclude that the trial court properly refused to reduce the jury verdict.

The defendant next claims that the trial court failed to instruct the jury that proximate causation must be established by expert testimony. The plaintiff argues that the defendant did not properly preserve the claim in accordance with Practice Book 315. We agree with the plaintiff and, therefore, do not reach the merits of the defendant's claim.

In order to preserve a claim related to the giving of or failure to give a jury instruction, a party is obligated either to submit a written request to charge covering the matter or to take an exception immediately after the charge is given. See Practice Book 315. Our review of the record indicates that the defendant's requests to charge did not cover the issue of requiring expert testimony in order to establish causation. They did include a charge on causation, and, in fact, the trial court's charge to the jury on the issue of causation was similar to the defendant's requested charge.

After the charge was given, the defendant took five exceptions to the charge. None, however, was to the issue of causation. By failing to except, the defendant deprived the trial court of an opportunity to correct the claimed error before the jury began its deliberations. Berry v. Loiseau, 223 Conn. 786, 814, 614 A.2d 414 (1992). The purpose of taking exceptions immediately after the charge is delivered is to ensure that the trial court has an opportunity to cure any defects or ambiguities in the charge, and "to avoid the economic waste and increased court congestion caused by unnecessary retrials." (Internal quotation marks omitted.) Id.; see Practice Book 315. Accordingly, because the defendant failed to preserve properly his claim on appeal, we conclude that the claim is not entitled to appellate review.

The defendant also claims that the trial court's charge on the calculation of damages misled the jury. Specifically, the defendant claims that the trial court failed to provide the necessary guidance regarding apportionment of damages and failed to instruct on contributory negligence. The defendant argues that the jury should have been instructed to determine the liability of each of the defendants, and that it should have received instruction as to the proportionate share of damages to be paid as outlined in General Statutes 52-572h (d).

Our standard of review concerning claims of instructional error is well settled. "[J]ury instructions must be read as a whole and . . . are not to be judged in artificial isolation from the overall charge . . . . The whole charge must be considered from the standpoint of its effect on the jurors in guiding them to a proper verdict . . . ." (Internal quotation marks omitted.) Sullivan v. Norwalk, 28 Conn. App. 449, 456, 612 A.2d 114 (1992), quoting Hall v. Burns, 213 Conn. 446, 475, 569 A.2d 10 (1990). The trial court must adapt its instructions to the issues raised in order to give the jury reasonable guidance in reaching a verdict and not mislead them. Sullivan v. Norwalk, supra.

Viewing the charge as a whole, we conclude that there is no reasonable possibility that the jury was misled. The charge adequately and clearly instructed the jury how to calculate damages in this case. A charge on the apportionment of damages, as outlined in 52-572h (d) need not have been given because the negligence in this case arose from acts occurring prior to the enactment of the subsection on apportionment. Furthermore, at the time this case was tried, there was only one defendant and the plaintiff's substituted complaint makes no reference to and claims no damages from any other defendant. The complaint involves the negligence of Cianciolo and of no one else.

The defendant also claims that the trial court failed to instruct the jury on the issue of contributory negligence. The defendant, however, did not assert contributory negligence as a special defense, and, therefore, was not entitled to a charge as to that defense. The defendant did assert as a special defense that the plaintiff aggravated his condition by not complying with the defendant's instructions to maintain bed rest and not to return to work. Accordingly, he requested a mitigation of damages charge because evidence existed that the plaintiff may have failed to enhance his chances for a recovery by disregarding the defendant's advice. He was entitled to such a charge; Futterleib v. Mr. Happy's, Inc., 16 Conn. App. 497, 501, 548 A.2d 728 (1988); and the trial court gave it. Not having pleaded contributory negligence, he was not entitled to a charge regarding it, nor a verdict form that included contributory negligence.


Summaries of

Mauro v. Yale-New Haven Hospital

Appellate Court of Connecticut
Jun 8, 1993
31 Conn. App. 584 (Conn. App. Ct. 1993)

holding that the defendant was entitled to a mitigation of damages charge where he presented evidence that the plaintiff disregarded advice to maintain bed rest and not to return to work

Summary of this case from Currie v. Metro-North Railroad Company

finding that the rule in Peck was not altered by the holdings of Alfano, 203 Conn. 607; Ames v. Sears, Roebuck Co., 206 Conn. 16, and Yuzari v. S. Auto Sales, 688 F. Supp. 825 (D. Conn. 1988)

Summary of this case from Densberger v. United Technologies Corp.

interpreting Peck to allow reduction of the jury verdict by amounts received by a plaintiff in settlement only when those amounts plus the verdict would allow damages that are excessive as a matter of law

Summary of this case from Imbrogno v. Chamberlin

In Mauro, the Appellate Court distinguished Alfano from Peck on the ground that Alfano involved a claim for property loss whereby damages were fixed and certain, whereas the jury award in Peck, a personal injury case, necessarily fell "within a spectrum of possible sums that could [have been] awarded as just damages."

Summary of this case from Mahon v. B.V. Unitron Mfg., Inc.

In Mauro v. Yale-New Haven Hospital, 31 Conn. App. 584, 591, 627 A.2d 443 (1993), we held that § 52-216a did not require the automatic subtraction of settlement amounts from jury verdicts.

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In Mauro v. Yale-New Haven Hospital, 31 Conn.App. 584, 593-94 (1993), the court held that the defendant was not entitled to a jury charge of contributory negligence because it did not raise it as a special defense, but since it did raise a failure to mitigate damages as a special defense, it was entitled to such a charge.

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In Mauro v. Yale-New Haven Hospital, 31 Conn.App. 584, 593-94, 627 A.2d 443 (1993), the Appellate Court held that the defendant was entitled to a charge on failure to mitigate damages because he did assert it as a special defense and produced some evidence regarding the claim.

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Case details for

Mauro v. Yale-New Haven Hospital

Case Details

Full title:ALFRED MAURO, JR. v. YALE-NEW HAVEN HOSPITAL ET AL

Court:Appellate Court of Connecticut

Date published: Jun 8, 1993

Citations

31 Conn. App. 584 (Conn. App. Ct. 1993)
627 A.2d 443

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